We are currently accepting application forms for the 2018-2019 school year.

Please fill out ALL fields of this form.

If you have any questions or concerns you'd like to discuss with us feel free to email us at windsorrabbi@gmail.com.

Student 1 Profile
First Name
Last Name
Hebrew Name
Age
DOB


In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Address
City, State, Zip
Home Phone
Email
Cell Phone
 
Student 2 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Address
City, State, Zip 
Home Phone
Email
Cell Phone
 
Student 3 Profile
First Name
Last Name
Hebrew Name
Age
DOB
Time of Birth

In Judaism the day begins at nightfall, so to determine the exact date of the Jewish birthday we need to know the time of day.
School
Grade Entering
Hebrew Reading Proficiency
None Somewhat Well
Previous Jewish Education
Yes No
Where?
Does your child have any learning disabilities? Please specify

This information will help us better cater to the needs of your child.
Address
City, State, Zip
Home Phone
Email
Cell Phone

 

Parent Information
Father's Name Father's Hebrew Name Cell
Email
Mother's Name
Mother's Hebrew Name
Cell
Email
Home Phone
Synagogue Affiliation
 
To enhance our curriculum we have school events and programs.  Can you assist in event planning?
* Email allows us to communicate in the most efficient and economical manner. We do not use your address for other purposes.
Emergency Information
Emergency Contact 1
Phone
Relationship
Emergency Contact 2
Phone
Relationship
Family Physician
Phone
 
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Tuition Agreement

Tuition for the 2018-2019 school year is $600 per child including registration and book fee.

Full payment plan must be submitted to the administration office before any child will be permitted to attend classes. 

Installments:
Refer a friend and save 10% per family! (Friend must be new to Hebrew School and will be registering their child for this coming year)
Name of Family Referring
Payment Information
Payment Method   Checks can be mailed to 1506 Victoria Avenue, Windsor Ontario N8X 1P5
Total Registration Cost   Card Number
Expiration   CVV
Additional Comments (optional):
Terms of Agreement

As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment.

I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

Name:
Initials:


We look forward to a wonderful year of learning and growth!